| NPI | 1821104704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK E GODBEY President 912-261-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 063012) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800015943) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-10-26 |